<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Payroll</title>
</head>

<body>

<form wicket:id="payrollForm"  >

<p>
<label><span > Payroll ID</span></label>
<input type="text" wicket:id="payroll_id"  />
</p>

<p>
<label><span > Organization ID</span></label>
<input type="text" wicket:id="org_id"  />
</p>

<p>
<label><span > Date</span></label>
<input type="text" wicket:id="date"  />
</p>

<p>
<label><span > Activity</span></label>
<input type="text" wicket:id="activity"  />
</p>

<p>
<label><span > Purpose</span></label>
<input type="text" wicket:id="purpose"  />
</p>

<p>
<label><span > Disbursed By</span></label>
<input type="text" wicket:id="disbursed_by"  />
</p>

<p>
<label><span > Approved By</span></label>
<input type="text" wicket:id="approved_by"  />
</p>

<p>
<label><span > Date Created</span></label>
<input type="text" wicket:id="date_created"  />
</p>

<p>
<label><span > Uploader</span></label>
<input type="text" wicket:id="uploader"  />
</p>

<p>
<label><span > Status</span></label>
<input type="text" wicket:id="status"  />
</p>

<p>
<input wicket:id="payrollAdd" type="submit" value="Add"  />
</p>


</form>

</body>
</html>
